Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Facility		$25.10	$25.10	$25.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $26.34 / $31.99	Professional		$24.78	$26.34	$31.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.16 / $2,154.98 / $3,868.86	Facility		$1,057.16	$2,154.98	$3,868.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $31.35 / $53.70	Facility		$25.10	$31.35	$53.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $107.86 / $107.86	Professional		$107.86	$107.86	$107.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00